Identifying barriers and finding solutions to implement best practices for cancer surgery at Maputo Central Hospital, Mozambique
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10362/116691 |
Resumo: | Purpose: The aim of this study was to assess the surgical resources and surgical oncology team skills at the Surgical Department of Maputo Central Hospital (MCH) in Mozambique in order to define an educational program to support surgical oncology practice. Methods: From January 2017 to December 2017, a general evaluation of the resources of MCH was carried out, as well as its offerings in oncological care in different services. Data were obtained by reviewing documents, visiting surgical services and interviewing key informants and others informally. In addition, a group of seven surgeons of the Surgical Department of MCH answered a questionnaire about the quality of the cancer units (The Cancer Units Assessment Checklist for low- or middle-income African countries). Subsequently, surgical, anaesthesiology and intensive care facilities were evaluated according to the Portuguese-speaking African Countries Assessment of Surgical Oncology Capacity Survey (PSAC-Surgery). All the data were triangulated in order to identify gaps, develop an action plan and define an educational program. Results: Breast, oesophagus and colorectal cancers were the most commonly treated neoplasms in MCH. A range of technical and resource needs as well as the gaps in knowledge and skills were identified. All surgeons recognised the need to create a training program in oncology at the undergraduate level, specific training for residents and continuing oncological education for general surgeons to improve the practice of surgical oncology. It was evident that all these interventions needed to be formalised, appropriately certified and count for professional career progression. Based on the local epidemiological data and on these study findings, oncology education programs were developed for surgeons. Conclusions: The findings of this study contributed to the development of an educational program in surgical oncology, considered essential to the training of surgeons at MCH. The cancer educational programs and the mobilisation of adequate resources will ensure the provision of adequate surgical oncology treatments for MCH. The training requirements should be tailored to suit the local needs based on the most prevalent malignancies diagnosed in the region. In our view, this methodology may apply to other countries with similar realities in the formation of surgical oncologists. |
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Identifying barriers and finding solutions to implement best practices for cancer surgery at Maputo Central Hospital, MozambiqueTrainingSurgical oncologyCurriculum developmentMozambiquePublic Health, Environmental and Occupational HealthSDG 3 - Good Health and Well-beingPurpose: The aim of this study was to assess the surgical resources and surgical oncology team skills at the Surgical Department of Maputo Central Hospital (MCH) in Mozambique in order to define an educational program to support surgical oncology practice. Methods: From January 2017 to December 2017, a general evaluation of the resources of MCH was carried out, as well as its offerings in oncological care in different services. Data were obtained by reviewing documents, visiting surgical services and interviewing key informants and others informally. In addition, a group of seven surgeons of the Surgical Department of MCH answered a questionnaire about the quality of the cancer units (The Cancer Units Assessment Checklist for low- or middle-income African countries). Subsequently, surgical, anaesthesiology and intensive care facilities were evaluated according to the Portuguese-speaking African Countries Assessment of Surgical Oncology Capacity Survey (PSAC-Surgery). All the data were triangulated in order to identify gaps, develop an action plan and define an educational program. Results: Breast, oesophagus and colorectal cancers were the most commonly treated neoplasms in MCH. A range of technical and resource needs as well as the gaps in knowledge and skills were identified. All surgeons recognised the need to create a training program in oncology at the undergraduate level, specific training for residents and continuing oncological education for general surgeons to improve the practice of surgical oncology. It was evident that all these interventions needed to be formalised, appropriately certified and count for professional career progression. Based on the local epidemiological data and on these study findings, oncology education programs were developed for surgeons. Conclusions: The findings of this study contributed to the development of an educational program in surgical oncology, considered essential to the training of surgeons at MCH. The cancer educational programs and the mobilisation of adequate resources will ensure the provision of adequate surgical oncology treatments for MCH. The training requirements should be tailored to suit the local needs based on the most prevalent malignancies diagnosed in the region. In our view, this methodology may apply to other countries with similar realities in the formation of surgical oncologists.Instituto de Higiene e Medicina Tropical (IHMT)Global Health and Tropical Medicine (GHTM)Population health, policies and services (PPS)RUNMorais, AtílioCossa, MatchecaneTivane, AdrianoCome, JotamoVenetsky, VolodimirTorres, FernandoPacheco, VictorReyes, MiguelPires, G.Peyroteo, MarianaTulsidas, SatishBaker, EllenSidat, MMartins, MRSantos, Lúcio Lara2021-05-02T22:39:54Z2018-10-232018-10-23T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article8application/pdfhttp://hdl.handle.net/10362/116691eng1754-6605PURE: 6408402https://doi.org/10.3332/ecancer.2018.878info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T04:59:22Zoai:run.unl.pt:10362/116691Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:43:12.426535Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Identifying barriers and finding solutions to implement best practices for cancer surgery at Maputo Central Hospital, Mozambique |
title |
Identifying barriers and finding solutions to implement best practices for cancer surgery at Maputo Central Hospital, Mozambique |
spellingShingle |
Identifying barriers and finding solutions to implement best practices for cancer surgery at Maputo Central Hospital, Mozambique Morais, Atílio Training Surgical oncology Curriculum development Mozambique Public Health, Environmental and Occupational Health SDG 3 - Good Health and Well-being |
title_short |
Identifying barriers and finding solutions to implement best practices for cancer surgery at Maputo Central Hospital, Mozambique |
title_full |
Identifying barriers and finding solutions to implement best practices for cancer surgery at Maputo Central Hospital, Mozambique |
title_fullStr |
Identifying barriers and finding solutions to implement best practices for cancer surgery at Maputo Central Hospital, Mozambique |
title_full_unstemmed |
Identifying barriers and finding solutions to implement best practices for cancer surgery at Maputo Central Hospital, Mozambique |
title_sort |
Identifying barriers and finding solutions to implement best practices for cancer surgery at Maputo Central Hospital, Mozambique |
author |
Morais, Atílio |
author_facet |
Morais, Atílio Cossa, Matchecane Tivane, Adriano Come, Jotamo Venetsky, Volodimir Torres, Fernando Pacheco, Victor Reyes, Miguel Pires, G. Peyroteo, Mariana Tulsidas, Satish Baker, Ellen Sidat, M Martins, MR Santos, Lúcio Lara |
author_role |
author |
author2 |
Cossa, Matchecane Tivane, Adriano Come, Jotamo Venetsky, Volodimir Torres, Fernando Pacheco, Victor Reyes, Miguel Pires, G. Peyroteo, Mariana Tulsidas, Satish Baker, Ellen Sidat, M Martins, MR Santos, Lúcio Lara |
author2_role |
author author author author author author author author author author author author author author |
dc.contributor.none.fl_str_mv |
Instituto de Higiene e Medicina Tropical (IHMT) Global Health and Tropical Medicine (GHTM) Population health, policies and services (PPS) RUN |
dc.contributor.author.fl_str_mv |
Morais, Atílio Cossa, Matchecane Tivane, Adriano Come, Jotamo Venetsky, Volodimir Torres, Fernando Pacheco, Victor Reyes, Miguel Pires, G. Peyroteo, Mariana Tulsidas, Satish Baker, Ellen Sidat, M Martins, MR Santos, Lúcio Lara |
dc.subject.por.fl_str_mv |
Training Surgical oncology Curriculum development Mozambique Public Health, Environmental and Occupational Health SDG 3 - Good Health and Well-being |
topic |
Training Surgical oncology Curriculum development Mozambique Public Health, Environmental and Occupational Health SDG 3 - Good Health and Well-being |
description |
Purpose: The aim of this study was to assess the surgical resources and surgical oncology team skills at the Surgical Department of Maputo Central Hospital (MCH) in Mozambique in order to define an educational program to support surgical oncology practice. Methods: From January 2017 to December 2017, a general evaluation of the resources of MCH was carried out, as well as its offerings in oncological care in different services. Data were obtained by reviewing documents, visiting surgical services and interviewing key informants and others informally. In addition, a group of seven surgeons of the Surgical Department of MCH answered a questionnaire about the quality of the cancer units (The Cancer Units Assessment Checklist for low- or middle-income African countries). Subsequently, surgical, anaesthesiology and intensive care facilities were evaluated according to the Portuguese-speaking African Countries Assessment of Surgical Oncology Capacity Survey (PSAC-Surgery). All the data were triangulated in order to identify gaps, develop an action plan and define an educational program. Results: Breast, oesophagus and colorectal cancers were the most commonly treated neoplasms in MCH. A range of technical and resource needs as well as the gaps in knowledge and skills were identified. All surgeons recognised the need to create a training program in oncology at the undergraduate level, specific training for residents and continuing oncological education for general surgeons to improve the practice of surgical oncology. It was evident that all these interventions needed to be formalised, appropriately certified and count for professional career progression. Based on the local epidemiological data and on these study findings, oncology education programs were developed for surgeons. Conclusions: The findings of this study contributed to the development of an educational program in surgical oncology, considered essential to the training of surgeons at MCH. The cancer educational programs and the mobilisation of adequate resources will ensure the provision of adequate surgical oncology treatments for MCH. The training requirements should be tailored to suit the local needs based on the most prevalent malignancies diagnosed in the region. In our view, this methodology may apply to other countries with similar realities in the formation of surgical oncologists. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-10-23 2018-10-23T00:00:00Z 2021-05-02T22:39:54Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10362/116691 |
url |
http://hdl.handle.net/10362/116691 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
1754-6605 PURE: 6408402 https://doi.org/10.3332/ecancer.2018.878 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
8 application/pdf |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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